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General NPI Number Information
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NPI Number | 1881671873
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Entity Type | Individual
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Provider Name | ALFRED P CAMPBELL PA
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 65 MECHANIC ST
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-268-7130
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Fax |
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Provider Business Mailing Address
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Address Line | 129 MAPLE AVE
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City | FAIR HAVEN
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State | NJ
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Zip | 07704-3421
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Country | US
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Telephone | 732-933-0333
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Fax | 732-933-0333
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MP00451
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License Number State | NJ
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